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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700082
Report Date: 08/12/2024
Date Signed: 08/12/2024 12:11:44 PM


Document Has Been Signed on 08/12/2024 12:11 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108



FACILITY NAME:CARLSBAD EDUCATIONAL FOUNDATION - CALAVERA HILLSFACILITY NUMBER:
376700082
ADMINISTRATOR:BRANDY VELASCOFACILITY TYPE:
840
ADDRESS:4101-4104 TAMARACK AVENUETELEPHONE:
(760) 331-6315
CITY:CARLSBADSTATE: CAZIP CODE:
92010
CAPACITY:110CENSUS: 0DATE:
08/12/2024
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Rachel Tamayo, Director of After-school Programs and April Smith, Area ManagerTIME COMPLETED:
12:25 PM
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On 08/12/2024 at 11:15am, Licensing Program Analyst (LPA), Selina Siao conducted a case management capacity increase inspection. Upon arrival, LPA met with Rachel Tamayo, Director of After-school Programs and April Smith, Area Manager. Facility is currently licensed to care for 110 school age children in classrooms 1, 6, 13, 10, 15, 103 and the multipurpose room (Elementary Bldg) and Room D1 (Middle School Bldg). Facility representative has request to increase the license capacity to 140 children that are attending UTK through 5th grade by using classrooms 10, 13, 15 and the MPR. Facility is exempt from indoor and outdoor square footage per Title 22, sections 101538.2(c) and 101538.3(c). The fire clearance was approved on 08/02/2024.

The school is currently on summer break and will resume on 08/21/2024. Food preparation for snacks is in classroom #15. There is an operational carbon monoxide detector in room #15 located next to the fire extinguisher. Cleaning supplies and other toxic items are inaccessible to children through latches, locks and/or placed on a high cabinet. Check in area for the kindergarten children is currently at the Kindergarten playground gate area and for the older children the check in area is outside of room #13 by the planter. Check out area is by the gate located next to room #15.

The children uses elementary playground, black top basketball area and the play structure which appears to be age-appropriate for school age children. Facility representative stated that the facility do not use the monkey bar. Facility representative stated that they are in the process of obtaining permission from the principal to use the kindergarten playground. Both playgrounds has rubber cushioning, and the kindergarten play structure has an attached large umbrella shade. There are shade available throughout the campus and filtered water bottle filling station by the restroom between room #12 and #13. Facility representative was reminded to keep anything that reads, “Keep Out of Reach of Children” inaccessible to children.

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (916) 936-5444
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 929-2085
LICENSING EVALUATOR SIGNATURE:
DATE: 08/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/12/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: CARLSBAD EDUCATIONAL FOUNDATION - CALAVERA HILLS
FACILITY NUMBER: 376700082
VISIT DATE: 08/12/2024
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The kindergarten children will be eating lunch at the lunch table areas by the school kitchen. The children will eat snack at the tables and planters area located outside of the main room #15. The children will be using the boys and girls restroom throughout the school (see map for details). Facility representatives was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

Facility representatives was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.”

A capacity increase for 140 children will be granted effective today.

Exit interview was conducted and report was reviewed with facility representatives. A notice of site visit must remain posted for 30 days in the main room #15.

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (916) 936-5444
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 929-2085
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2024
LIC809 (FAS) - (06/04)
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